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Tuesday, September 28, 2021

FDA official Marks taking on responsibilities to lead vaccine office

 Peter Marks, a high-ranking official at the Food and Drug Administration (FDA), took on responsibilities to lead the agency’s vaccine office on Monday as the office prepares for the retirement of two others who had publicly cast doubt on the need for COVID-19 boosters.

An FDA spokesperson said the agency elevated Marks to acting director of the Office of Vaccines Research and Review “to prepare for the upcoming retirement of two senior members of the team” in the fall.

“This will facilitate a smooth transition and ensure that the important vaccine work the team is undertaking to end of this devastating pandemic can continue to move forward seamlessly,” the spokesperson said in a statement. 

“A smooth transition is particularly important given the critical regulatory submissions that the Office of Vaccines Research and Review will need to work through as a team over the coming months that will affect the health of nearly every American,” the statement continued.

Since 2016, including throughout the pandemic, Marks has provided oversight for the vaccine office’s reviews as the director of the Center for Biologics Evaluation and Research. 

The leadership shift comes after the office’s director, Marion Gruber, and her deputy, Philip Krause, announced their plans to retire following the FDA’s defense of the Biden administration’s booster strategy. 

Marks announced his transfer in an email to staff obtained by The Hill, saying it allowed for Gruber and Krause to “take care of close-out activities prior to departing and help to assure a smooth transition.”

Gruber plans to retire at the end of October, while Krause intends to leave in November.

The two scientists have not discussed why they decided to leave the agency, but they joined a paper published in The Lancet earlier this month that argued current evidence does not back up giving booster shots to the general adult population.

"Current evidence does not, therefore, appear to show a need for boosting in the general population, in which efficacy against severe disease remains high," they wrote in the paper. 

The paper appeared in The Lancet as the Biden administration advocated for booster shots to be widely available starting on Sept. 20, as long as the FDA offered approval, despite divided views among experts.

FDA and Centers for Disease Control and Prevention (CDC) experts recently reviewed the evidence for a third Pfizer-BioNTech shot. The FDA granted emergency use authorization for third shots of Pfizer’s vaccine to be giving to people aged 65 and older, those at high risk of severe complications from COVID-19 and those at high risk of infection due to their occupations.

A CDC advisory panel last week backed recommending a third dose for those groups, except those with certain jobs. But CDC Director Rochelle Walensky overruled that exception, advising booster shots for workers considered at risk of COVID-19 because of their jobs, in addition to those aged 65 and older and those with underlying medical conditions.

The FDA’s vaccine office is expected to make more decisions on COVID-19 vaccine shots in the upcoming weeks and months as it considers whether to allow those ages 5 to 11 to get the Pfizer-BioNTech vaccine and whether boosters should be recommended for other vaccine recipients. 

https://thehill.com/policy/healthcare/574196-fda-official-taking-on-responsibilities-to-lead-vaccine-office

Majority in new poll distrusts Biden on COVID-19

 A majority of Americans questioned in a new survey says President Biden cannot be trusted on the coronavirus pandemic 

The Axios-Ipsos poll released Tuesday found that 53 percent of respondents said they didn’t have very much trust or no trust at all in Biden to provide accurate information about the coronavirus. Forty-five percent trust the president either a great deal or fair amount, according to the survey. 

When Biden first took office in January, 58 percent said they trusted him to provide accurate information about COVID-19.

The new poll found that 81 percent of Democrats trusted Biden on the coronavirus, compared to 11 percent of Republicans and 42 percent of independents.

The results come as the nation deals with a rise in coronavirus infections fueled by the delta variant. While the U.S. has not gone back to the same lockdowns seen at this time last year, there’s still no clear end to the pandemic in sight.

The Axios-Ipsos survey found that declining trust over the pandemic is also an issue among other institutions.

Forty-nine percent of respondents said they trusted the federal government to provide accurate information on COVID-19, compared to 54 percent who said as much two weeks ago.

In addition, 50 percent said they trusted their state government to provide accurate information on COVID-19, also down from 54 percent who responded that they trusted the government earlier this month.

Further, 64 percent said they trusted the Centers for Disease Control and Prevention, down 2 percentage points from when the last survey.

Sixty percent said they trusted “national public health officials” to provide accurate information about COVID-19, down 2 points.

The new poll surveyed 1,105 adults aged 18 and older from Sept. 24 to 27 and has a margin of error of 3.2 percentage points.

https://thehill.com/policy/healthcare/574219-majority-in-new-poll-now-distrusts-biden-on-covid-19

NY governor signs emergency order addressing potential health care shortages

 New York Gov. Kathy Hochul (D) signed an executive order to combat possible understaffing in hospitals as her vaccine mandate for healthcare workers took effect on Monday.

Hochul's order declared a statewide emergency and authorized state agencies to assist with filing roles left behind by people who do not get vaccinated. Specifically, the order allows any licensed, out-of-state healthcare professionals from elsewhere in the U.S. to work in New York.
 
"The only way we can move past this pandemic is to ensure that everyone eligible is vaccinated, and that includes those who are taking care of our vulnerable family members and loved ones," Hochul said in a statement on her website.
 
Last month, New York became the first state in the nation to mandate COVID-19 vaccines for healthcare workers with a Sept. 27 deadline. According to the governor's website, 92 percent of nursing home staff was compliant with the mandate as of Monday evening, up from 70 percent of workers who were vaccinated on Aug. 15 prior to the mandate.
 
Hospital staff vaccination rates also increased from 77 percent before the mandate to 84 percent as of Sept. 22 when data was last reported, the governor's office said.
 
Hochul added that a 24/7 Operations Center would be led by the New York State Department of Health in order to address staffing shortages or other issues that may arise.
 
Last week, Hochul said that she would consider deploying medically-trained National Guard members to fill understaffed medical facilities if necessary. 

Evelo Biosciences Psoriasis Candidate Shows Benefit In Mid-Stage Study

 

  • Evelo Biosciences Inc (NASDAQ: EVLO) has announced data from its Phase 2 study of EDP1815 for mild and moderate psoriasis.

  • A statistically significant reduction in the Psoriasis Area and Severity Index (PASI) score from baseline at week 16 was observed in the study.

  • 25% to 32% of patients across the three cohorts treated with EDP1815 achieved a PASI-50 (50% change from baseline) at week 16 compared to 12% on placebo.

  • In cohorts 1 and 2 the difference in response rate was statistically significant.

  • Though cohort 3 was directionally similar (25% vs. 12%).

  • The pooled PASI-50 response across all three EDP1815 cohorts, an exploratory analysis, was 29% vs. 12% for placebo and was also statistically significant with a p-value of 0.027.

  • An increase in the number of capsules of EDP1815 did not lead to dose-response.

  • EDP1815 was observed to be well tolerated in the Phase 2 study.

  • Adverse events (AEs) classified as "gastrointestinal" were comparable between active and placebo groups, with no meaningful differences in diarrhea, abdominal pain, nausea, or vomiting rates.

Valneva, Pfizer Phase 2 Data Suggests Booster Strategy For Lyme Disease Vax Candidate

 

  • Valneva SE (NASDAQ: VALN) and Pfizer Inc (NYSE: PFE) have announced more positive Phase 2 results, including the booster response, for their Lyme disease vaccine candidate VLA15.

  • The 246-subject study is evaluating the immunogenicity and safety of VLA15 in a Month 0-2-6 vaccination schedule.

  • The study met its primary endpoint of demonstrating that VLA15 was immunogenic across all dose groups tested.

  • Continued evaluation at Month 18 showed that antibody titers declined, remaining above baseline but confirming the need for a booster strategy.

  • VLA15 was safe and well-tolerated. No related Serious Adverse Events were observed in any treatment group.

  • Participants who received a complete primary vaccination series with 180 µg doses of VLA15 had an option to continue the study in a booster extension phase to receive an additional 180 µg dose of VLA15 (N=39) or placebo (N=19).

  • Booster dose elicited a strong anamnestic response yielding a 2.9-fold (ST3) to 4.2-fold (ST1, ST4) increase in anti-OspA IgG antibody titers compared with titers observed after primary immunization.

  • All participants seroconverted to anti-OspA IgG after the booster dose, meaning Seroconversion Rates were 100% for all OspA serotypes.

  • The companies are planning for a Phase 3 trial in 2022.

Eisai, Biogen start U.S. accelerated approval for new Alzheimer's drug

 Japanese drugmaker Eisai Co on Monday began its application process for its experimental drug for early Alzheimer's disease using an accelerated approval pathway, the same path that helped Eisai's development partner Biogen Inc win U.S. approval of its medication in June.

The Biogen/Eisai drug Aduhelm was the first Alzheimer's treatment to win approval in nearly 20 years, but the Food and Drug Administration's (FDA) controversial use of the accelerated approval process - which authorizes drugs for severe conditions without strong proof of a benefit to patients - has come under heavy fire.

Biogen and Eisai won authorization for Aduhelm based on evidence that it can reduce brain plaques, a likely contributor to Alzheimer's, rather than convincing proof that it slows progression of the lethal disease. Companies are required to run confirmatory studies to prove the drug works as intended.

Now, Eisai, which leads development on Alzheimer's drug lecanemab, is using evidence from a midstage trial showing its drug candidate removes brain plaques to an even greater degree than Aduhelm, with lower rates of brain swelling.

Eisai intends to learn from its partner's experiences as it works through the regulatory process. Ivan Cheung, president of Eisai's global neurology group, said in an interview the company is being as transparent as possible.

Eisai will submit its application to the FDA on a rolling basis, with the aim of completing the application in the next few months. The company plans to submit data from its midstage trial of 856 volunteers, which showed that 80% of patients had no amyloid left in their brains after 18 months of treatment.

That benefit also correlated with improvements seen in some patients, Cheung said. The trial was published in Alzheimer's Research and Therapy, a peer-reviewed journal, in April.

A key point of contention with the Aduhelm approval is the timing of the confirmatory trial, which FDA officials said could take several years. Eisai already has a confirmatory, Phase III trial fully enrolled. Cheung expects results before the end of 2022.

Puma Biotech upped to Buy from Neutral by Citi

 Target $11

https://finviz.com/quote.ashx?t=PBYI&ty=c&ta=1&p=d